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Cited by 55Complementary and Alternative Medicine StudiesPregnancy and Medication ImpactTraditional Chinese Medicine Studies

Consumption of Chinese herbal medicines during pregnancy and postpartum: A prospective cohort study in China

Tang, Li, Lee, Andy H., Binns, Colin W., Hui, Yer Van, Yau, Kelvin K.W.·2016·Midwifery
DOI 10.1016/j.midw.2015.11.010
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Abstract

Objective to investigate usage patterns and factors associated with maternal consumption of Chinese herbal medicines in China.Design prospective cohort study. Information on the use of Chinese herbal medicines was collected from mothers by personal interview at hospital discharge and followed up by telephone at one, three and six months postpartum.Setting seven hospitals in Jiangyou, Sichuan Province of China.Participants 695 mothers who gave birth to a singleton infant.Measurements prevalence, type, frequency and duration of herbal medicine usage. Logistic mixed regression analyses were performed to determine factors affecting the use.Findings a total of 43.5% and 45.0% of mothers consumed Chinese herbal medicines during pregnancy and postpartum, respectively. Angelica sinsensis was the most popular herbal medicine among the participants (pregnancy 28.8%, postpartum 26.8%). Although herbal medicines were taken more regularly by postpartum users, the median usage duration varied from two to three months during pregnancy but 1-1.6 months postpartum. The majority of users (pregnancy 42.9%, postpartum 55.1%) were advised by their mother or mother-in-law to take Chinese herbal medicines. Antenatal alcohol drinking (adjusted odds ratio 2.75, 95% confidence interval 1.01-7.53) was associated with a marginally higher prevalence of herbal consumption during pregnancy, whereas mothers with a lower family income (adjusted odds ratio 1.52, 95% confidence interval 1.12-2.04) were more likely to consume Chinese herbal medicines in the postpartum period.Key conclusions and implications for practice consumption of Chinese herbal medicines appears to be prevalent among Chinese mothers, especially those drinking alcohol whilst pregnant and women from a lower income household. Maternity health professionals need to be aware of the lack of evidence to support the use of Chinese herbal medicines during pregnancy and postpartum, and to provide their clients with scientifically based advice regarding herbal medicine use.

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Authors
Tang, L., Lee, A. H., Binns, C. W., Hui, Y. V., & Yau, K. K. W.
Affiliations
  • City University of Hong Kong (HK)
  • Curtin University (AU)
Corresponding author
Tang, Li
ORCID
Venue
Midwifery
Publisher
Elsevier BV
Published
2016-03
Volume
34
Pages
205-210
ISSN
0266-6138 (ISSN-L)
DOI
10.1016/j.midw.2015.11.010
OpenAlex
W2175216906
Cited by
55
References
31
Citations by year
2026: 3 · 2025: 7 · 2024: 6 · 2023: 9 · 2022: 5 · 2021: 6 · 2020: 6 · 2019: 7 · 2017: 5 · 2016: 1
FWCI
3.90
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Midwifery (publishedVersion)
  • PubMed (publishedVersion)
  • eSpace (Curtin University) (submittedVersion)
Funders
  • Endeavour Australia Cheung Kong Research Fellowship
  • Research Grants Council of Hong Kong
Topics
  • Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
  • Health Sciences › Medicine › Complementary and alternative medicine › Traditional Chinese Medicine Studies
Keywords
Chinese herbal medicine, pregnancy, postpartum period, maternal health, Angelica sinensis, household income, traditional medicine use
MeSH terms
Adolescent, Adult, China, Drugs, Chinese Herbal, Female, Humans, Interviews as Topic, Midwifery, Pregnancy, Pregnancy Complications, Prenatal Care, Prospective Studies, Risk-Taking, Socioeconomic Factors, Cohort Studies, Prevalence, Young Adult

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